LLCEC 2020: Orientation Survey and Needs Assessment
PLEASE READ! We are SO excited you want to be a part of the LLCEC. We have run out of large care kits to send. HOWEVER, please fill out the survey so we can include you in the online program and send you a smaller care kit (with t-shirt and mask) the week of July 20.

The only things you will not get are the supplies for the art activities and the printed LLCEC Family and DYF Guide. NO WORRIES though. We will print supplies list (all very affordable items) for the art activities online and the guides will be accessible electronically as well. Please like us on Facebook, follow us on Instagram and watch your email to get access to the www.thellcec.org/participants page.
Full Name:
Mailing Address (# Street, City, State, Zip Code)
Email address:
Phone number:
School name and grade
T-shirt size
Clear selection
Pronouns
Clear selection
May we text you at the number listed above?
Clear selection
Which project class(es) would you like to participate in (you can select one or both).
I have access to a reliable computer, laptop or device from which I can access online gathering platforms such as Zoom, Teams and engage in social media like Instagram, Facebook, etc. *
I have a reliable and secure internet connection (wifi or hotspot) that allows me to complete \stream videos, access educational apps, participate in online gatherings like ZOOM, and access library services, etc. *
I am comfortable with using: (check all that apply) *
Required
Please check all that apply to your situation. *
Required
I will be working this summer. *
If you will be working this summer, please let us know what your work schedule will be like. *
What is your language of preference? *
Would you like someone from LLCEC to call you? *
What kind of programs, events, services or support would you like most from the LLCEC 2020? *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy